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KOMOTO PHARMACY
DSH050455 Adventist Health Bakersfield
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Covered Entity Details
Entity Name
Adventist Health Bakersfield
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050455
Entity Address
2615 Chester Avenue
BAKERSFIELD, CA 93301
Medicare Provider Number
050455
Participating Start Date
4/1/2005
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
KOMOTO PHARMACY
Pharmacy Address
KOMOTO PHARMACY
1017 ELLINGTON ST
DELANO, CA 93215-2621
Pharmacy Comments
Contract Details
Approval Date
12/6/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brent W. Soper, Chief Financial Officer
(661) 869-6180
Contract Pharmacy Representative
Komoto
Brian Komoto, President & CEO
(559) 734-2896
Signed By Date
10/10/2012
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